title: [Patient with posterior reversible encephalopathy syndrome with prolonged disturbance of consciousness and convulsion after cerebral aneurysm surgery].
abstract: A 73-year-old patient developed convulsion and prolonged disturbance of consciousness after clipping surgery for unruptured cerebral aneurysm. The patient's consciousness improved four days after surgery, and radiological findings suggested posterior reversible encephalopathy syndrome (PRES). The cause of PRES is thought to be dysfunction of blood brain barrier by a sudden increase in blood pressure. In case of unexplained convulsion and decreased level of consciousness, PRES should be considered with radiographic examinations including CT and MRI.
authors.affiliation: Department of Anesthesiology, Matsudo City Hospital, Matsudo 271-8511.
authors.forename: Kayo
authors.initials: K
authors.lastname: Ueda
authors.forename: Takuo
authors.initials: T
authors.lastname: Hoshi
authors.forename: Shinko
authors.initials: S
authors.lastname: Yorozu
authors.forename: Junko
authors.initials: J
authors.lastname: Okazaki
authors.forename: Yuji
authors.initials: Y
authors.lastname: Motomura
authors.forename: Tomohiko
authors.initials: T
authors.lastname: Masumoto
authors.forename: Tsunehisa
authors.initials: T
authors.lastname: Tsubokawa
authors.forename: Makoto
authors.initials: M
authors.lastname: Tanaka
mesh_terms: D000368:Aged; D000768:Anesthesia, General; D000771:Anesthesia, Intravenous; D003244:Consciousness Disorders / Q000209:etiology*; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D054038:Posterior Leukoencephalopathy Syndrome / Q000175:diagnosis / Q000209:etiology*; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology*; D012640:Seizures / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D014656:Vascular Surgical Procedures